Firm, tighten, and strengthen your skin from within — no needles, no recovery, no interruption to your day.

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Is XERF Right for You?

You’ve started noticing laxity along the jawline. Your skin doesn’t feel as firm as it once did. You want to stay ahead of aging — not chase it later. If this sounds familiar, XERF may be exactly what your skin needs.

XERF is a non-invasive radiofrequency treatment designed for patients who want real, structural improvement — without surgery, needles, or downtime. It’s proactive skin care at its most intelligent.

Advanced Radiofrequency — Targeting the Layers That Matter

XERF is a needle-free radiofrequency treatment that tightens and strengthens the skin from within. Unlike traditional RF treatments that work at a single depth, XERF reaches multiple structural layers of the skin — stimulating collagen production where real, lasting change happens.

Each session uses real-time skin analysis and adjustable depth settings to customize treatment specifically to your skin’s needs and tolerance. This precision ensures consistent, effective energy delivery with every pass.

The result: effortless tightening, a more defined contour, and firmer-feeling skin — with no downtime required.

Best For

  • Mild to moderate skin laxity
  • Jawline softening and early jowling
  • Crepey or thinning skin texture
  • Loss of facial firmness
  • Preventative collagen support in patients who want to stay ahead of aging
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What to Expect

Treatment Time Approximately 45 minutes (may vary by area)
Downtime None
Comfort Level Minimal — warm and comfortable sensation
Anesthesia Not required
Treatment Series Typically 2 sessions
Return to Activities Immediately after treatment

During Treatment

XERF has been designed with comfort as a priority. The treatment delivers a warm, comfortable sensation throughout — thanks to Integrated Cryogen Delivery that continuously monitors skin temperature, and Wave Fit™ Pulse, which balances energy delivery with a built-in cooling effect. No numbing cream required.

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After Treatment

There is no recovery period. You can return to work, exercise, and daily activities immediately following your session. Mild warmth or subtle redness may occur and typically resolves within a few hours.

Results

Patients often describe feeling a tighter sensation in their skin immediately after treatment. In the weeks that follow, collagen continues to rebuild — gradually enhancing firmness and contour over time. Full results develop progressively as the skin strengthens from within.

Why Patients Choose XERF at Commonwealth Dermatology, PLLC

  • Non-surgical and needle-free
  • Zero downtime — fits seamlessly into any schedule
  • Customized to your skin in real time
  • Targets multiple skin layers for deeper collagen stimulation
  • Ideal for early intervention and preventative anti-aging
  • Performed by experienced, board-certified providers
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Frequently Asked Questions

How long does a treatment take?

A session typically takes about 45 minutes, though treatment time can vary depending on the areas being addressed. Your provider will outline the full plan during your consultation.

Is there any downtime?

None. XERF is a zero-downtime treatment. You can resume all normal activities immediately after your session — no recovery period, no visible effects to manage.

Does it hurt?

XERF has been carefully designed with comfort in mind. The treatment feels warm and pleasant throughout. Integrated Cryogen Delivery monitors your skin temperature in real time, and Wave Fit™ Pulse balances energy delivery with a continuous cooling effect. No needles and no numbing are required.

When will I see results?

Many patients notice a firmer, tighter feeling in their skin immediately after treatment. Collagen remodeling continues in the weeks following — with visible improvement developing gradually over the next several months.

How many treatments will I need?

Most patients achieve their desired results with a series of 2 treatments. Your provider will recommend a personalized plan based on your skin assessment and goals during your consultation.

Who is a good candidate for XERF?

XERF is well-suited for patients experiencing mild to moderate skin laxity, early jowling, or crepey texture — and for patients who want to proactively maintain firmness before significant laxity develops. Your provider will confirm candidacy during your VISIA-guided consultation.

Start With a Consultation

XERF is most effective when it’s part of a thoughtfully designed treatment plan. During your cosmetic consultation, your provider will perform a comprehensive VISIA Facial Analysis and assess whether XERF — alone or in combination with other treatments — is the right approach for your skin and goals.

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Commonwealth Dermatology, PLLC serves patients in Worcester, Fall River, Shrewsbury, Westborough, Marlborough, Framingham, and surrounding communities throughout Central and Southeastern Massachusetts.